Individual
DR. BRIAN T. MADVIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1725 S NAPERVILLE RD, SUITE 207, WHEATON, IL 60187-8155
(630) 462-7005
(630) 462-7006
Mailing address
1725 S NAPERVILLE RD, SUITE 207, WHEATON, IL 60187-8155
(630) 462-7005
(630) 462-7006
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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